Healthcare Provider Details

I. General information

NPI: 1730025586
Provider Name (Legal Business Name): SMILE CENTER OF COVINGTON PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

973 HIGHWAY 51 N STE 7
COVINGTON TN
38019-1594
US

IV. Provider business mailing address

227 SOUTHMILL DR
EADS TN
38028-6969
US

V. Phone/Fax

Practice location:
  • Phone: 404-543-0008
  • Fax:
Mailing address:
  • Phone: 404-543-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. TRACIE MACHELLE BATTLE
Title or Position: OWNER
Credential: DMD
Phone: 404-543-0008